Specialization at the Masters Level: A New Program in Medical Speech-Language Pathology

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1 Specialization at the Masters Level: A New Program in Medical Speech-Language Pathology Margaret Rogers, Ph.D. Speech and Hearing Sciences University of Washington

2 New Medical SLP Master s Program Three years from inception to now Accepted 26 students into MedSLP program Maintain Core Masters program 20 students with a focus on Public Schools (but continues to be a generalist degree) Also expanded Postbac program from 8/yr to 20/yr

3 Context of Shortages Motivation for new Medical SLP Masters program Public School SLPs New program doubled enrollment Medical SLPs Specialization promotes better preparation Professorial SLP Inclusion of CF & research training facilitates continuity into doctoral program

4 Obstacles & Challenges Funding Getting faculty on board Getting local SLP community organized Curricular changes Infra-structure accommodations Marketing & dissemination

5 Self Sustaining Program Partnered with Educational Outreach Division of university that provides administrative support for evening programs, continuing education, certificate programs, and degree programs (like ours) Arts & Sciences Administration cooperation 5% of tuition revenue to support infrastructure Agreement to allow expanded faculty lines (entirely funded by MedSLP revenue)

6 MedSLP Curriculum: Year 1 Autumn Winter Spring Summer Clinical Methods in Speech Language Pathology (4) Voice Disorders (4) Elementary School-Age Communication Disorders (4) Medical Speech Language Pathology (3) Pre-School (Birth-4) Communication Disorders (4) Fluency Disorders (4) Adult Communication Disorders (4) Adolescent Communication Disorders (3) Childhood Speech & Phonologic Disorders (4) Neural Bases of Speech & Language (4) Dysphagia (4) Pediatric Feeding, Speech, and Motor Development (3) Professional Seminar I (1) Professional Seminar I (1) Practicum UW SHC (2) Practicum UW SHC (2) Practicum UW SHC (4) Practicum UW SHC (4) 15 credits 15 credits 16 credits 13 credits

7 MedSLP Curriculum: Year 2 Autumn Winter Spring Summer Advanced Neurological Language Disorders (4) Augmentative & Alternative Communication - Developmental (4) Augmentative & Alternative Communication Acquired (4) Counseling (3) Voice Disorders in Medical Settings (4) Cognitive Communication Disorders (4) Advanced Neurological Motor Speech Disorders (4) Ethics Medical Speech Language Pathology (3) Evidence-based Practice I (3) Evidence-based Practice II (3) Evidence-based Practice III (3) Practicum-Externship (5) Practicum-Externship (5) Practicum-Externship (5) Practicum-Externship (10) 16 credits 16 credits 16 credits 16 credits

8 MedSLP Curriculum: Year 3 Autumn Winter Spring Summer Clinical & Research Forum (3) Clinical & Research Forum (3) Clinical & Research Forum (3) Clinical & Research Forum (3) Clinical Fellowship (12) Clinical Fellowship (12) Clinical Fellowship (12) Clinical Fellowship (12) 15 credits 15 credits 15 credits 15 credits

9 First Year Practica PIP Pronunciation Improvement Program Secondary Clinician in Public Schools Assessment Clinic (26 pediatric & 26 adult cases) Summer Treatment Clinic (same clients)

10 Externships Second year practica in outside placements Hospitals Clinics Private practices Paid supervision

11 Clinical Fellowship Third year Placements are determined by facilities, MedSLP coordinator, and student Students are paid per diem 12 months 25 hours/week Mentoring and supervision accomplished through Clinical and Research Forum

12 Evidence-Based Practice I (Both Core and MedSLP) Understanding research as a consumer Evaluation of the components of research from developing questions to results/discussion Understanding of the hierarchy of evidence Research designs: descriptive (case study, developmental, normative, qualitative, surveys); exploratory (correlational and differential); experimental (single-subject designs, randomized control trials, treatment efficacy) Issues related to human subjects and ethical considerations in research Issues related to measurement (validity, reliability, replicability, specificity, sensitivity) Individual student assignment: Review clinical research article & conduct class discussion about article

13 Evidence-Based Practice II (MedSLP students only) Learn how to conduct a Critically Appraised Topic Measurement issues reviewed and expanded Specificity and Sensitivity Likelihood Ratios Power Effect Size Review of EBP systematic reviews and meta-analyses in Medical Speech-Language Pathology Dysarthria Apraxia of Speech Aphasia Traumatic Brain Injury Dementia Voice Dysphagia Individual student assignment: Conduct and present a Critically Appraised Topic

14 Evidence-Based Practice III (MedSLP students only) The course is designed to prepare students for their Feasibility Projects which are conducted during their CFY Data collection in the clinical environment for examining clinical outcome and quality assurance with emphasis on the following: Challenges of data collection in the clinical environment Kinds of questions that can be asked in a clinical environment pertaining to assessment, treatment, interdisplinary Methods that lend themselves to a clinical environment Single subject design elements for demonstrating functional relationships/experimental control Case studies Qualitative techniques (interviews, questionnaires) Review of articles that illustrate data collection in a clinical setting Individual student assignment: Propose (Introduction and Methods) a Feasibility project

15 Clinical and Research Forum Once weekly evening course coinciding with the CFY UW faculty and SLP supervisors from CF facilities attend Provides CFY mentoring Caseload, procedures and responsibilities Difficult and unusual cases Successful and challenging situations Inservices on clinical topics Supports planning and implementing students Feasibility Projects Feasibility project is meant to illustrate to students how data at any level supports evidence-based practice & can be conducted in most clinical settings Students pose a question, design a project, collect and interpret data Data collection may be related to assessment techniques, treatment approaches, quality assurance, interdisciplinary communication The challenge is for students to come up with an appropriate question for their sites, determine what data can address their question, collect and interpret data.

16 Progress to date Accepted 26 students Started this week Have affiliation agreements with over 30 facilities including 17 hospitals, 12 clinics, and 6 private practices in Puget Sound region Hired 5 new supervisors in UW Speech & Hearing Clinic

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